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NPI Code Detail

MEDICARE: DR. OLORUNFEMI EMMANUEL AJIKAN M.B.B.S

MEDICARE: DR. OLORUNFEMI EMMANUEL AJIKAN M.B.B.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianP113301NY

General Provider Information

NPI Number : 1508527946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLORUNFEMI EMMANUEL AJIKAN M.B.B.S
Provider Business Mailing Address
First Line : 1371 SEABURY AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-3651
Country : US
Telephone Number : 201-419-3335
Fax Number :
Provider Business Practice Location Address
First Line : 2700 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5923
Country : US
Telephone Number : 201-419-3335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2022
Last Update Date : 01/07/2022

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